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budget and slow the economic growth in our states. as it stands, state economies are slowly recovering and we are returning to the revenues we collected bac in 2008. we believed in flexible federalism. as we continue to work with congress and the administration, governors are committed to a collaboration to maintain and promote a balanced system. we have as congress and the initiation to keep four points in mind. this should produce savings for the federal and state. it cannot be accomplished by shifting costs from the federal government to the states or by imposing unfunded mandates. state should be given increased flexibility. congress should not improve -- impose efforts as this. many of the decisions that affect our health care are made in the states, especially those about health care delivery systems. as the demand for primary care is straining, we face a rapidly aging population. more than 16 million individuals are projected to gain health insurance coverage by 2016. many are looking for innovative ways to revamp how they deliver health care. the department of health and human
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